KAITLYN CLEGG (NPI# 1356759302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356759302 |
| Entity Type | Individual |
| Full Name | KAITLYN CLEGG |
| Practice Address |
34 Parsons Rd Lincoln Park NJ 07035-1232 |
| Practice Telephone | 9734647959 |
| Mailing Telephone | 9734647959 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
34 PARSONS RD |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255824 | Jennifer Druckman | Specialist/Technologist | 5 Rosedale Ter, Livingston, NJ 07039-3203 | 2020-11-03 |
| 1265033765 | Mariah Jade Hubbard | Specialist/Technologist | 13 Stoneybrook Dr Apt 11, Absecon, NJ 08201-4340 | 2020-11-03 |
| 1356941975 | Tyler Cahill | Specialist/Technologist | 10 Deshibe Ter, Vineland, NJ 08360-4902 | 2020-11-01 |
| 1821698606 | Elena Vaughan | Specialist/Technologist | 32 N Syracuse Dr, Cherry Hill, NJ 08034-1229 | 2020-10-29 |
| 1235736612 | Nicholas Christos Ratigan | Specialist/Technologist | 900 Parkway Ave, Ewing, NJ 08618-2390 | 2020-10-08 |
| 1265039622 | Jessica Veronica Fittipaldi | Specialist/Technologist | 170 Paulison Ave, Passaic, NJ 07055-4810 | 2020-10-07 |
| 1396352027 | Carolyn Goeckel | Specialist/Technologist | 401 Broadway Unit 28, Barnegat Light, NJ 08006-1616 | 2020-09-27 |
| 1861008914 | Erin Nicole Boccher | Specialist/Technologist | 89 Prestbury Ln, Somerset, NJ 08873-4783 | 2020-09-23 |
| 1174138598 | Adam Carias | Specialist/Technologist | 18 Park View Ave Apt 314, Jersey City, NJ 07302-7381 | 2020-09-11 |
| 1750993432 | Samantha Hummel | Specialist/Technologist | 1906 Hunters Ln, Wall Township, NJ 07719-4625 | 2020-08-23 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.